单孔机器人加一孔（SP+1）远端胰腺切除术，使用新的达芬奇 SP 系统。
Single-port robot plus one port (SP + 1) distal pancreatectomy using the new da Vinci SP system.
机构信息
Department of Surgery, Division of HBP Surgery & Liver Transplantation, Korea University College of Medicine, 73 Goryeodae-ro Seongbuk-gu, Seoul, 02841, Korea.
出版信息
Langenbecks Arch Surg. 2022 May;407(3):1271-1276. doi: 10.1007/s00423-022-02477-w. Epub 2022 Mar 14.
PURPOSE
Single-incision laparoscopic distal pancreatectomy has not been widely applied due to technical challenges and increased operative risks. The newly released da Vinci SP system has been introduced to overcome these limitations and offer improvements for established robotic single-site procedures. We report our experience of robotic single port plus one port distal pancreatectomy using the da Vinci SP system.
METHODS
We performed robotic distal pancreatectomy in three patients using the da Vinci SP surgical system with one additional port used for applying the energy device and stapling. Technical and clinical feasibility were examined.
RESULTS
The mean age and body mass index were 70.7 years and 27.8 kg/m, respectively. The mean operation time was 215 min. The estimated blood loss was less than 500 mL. All patients underwent combined splenectomy. The postoperative course of all patients was uneventful.
CONCLUSION
Robotic distal pancreatectomy using the da Vinci SP system is safe and feasible, with acceptable perioperative outcomes.
目的
由于技术挑战和手术风险增加，单切口腹腔镜胰脏远端切除术尚未得到广泛应用。新推出的达芬奇 SP 系统旨在克服这些限制，并为已建立的机器人单部位手术提供改进。我们报告了使用达芬奇 SP 系统进行机器人单端口加一端口胰脏远端切除术的经验。
方法
我们使用达芬奇 SP 手术系统为三名患者进行了机器人胰脏远端切除术，另一个端口用于应用能量设备和吻合器。检查了技术和临床的可行性。
结果
患者的平均年龄和体重指数分别为 70.7 岁和 27.8kg/m。平均手术时间为 215 分钟。估计出血量小于 500 毫升。所有患者均接受联合脾切除术。所有患者的术后过程均顺利。
结论
使用达芬奇 SP 系统进行机器人胰脏远端切除术是安全可行的，具有可接受的围手术期结果。
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